Mood D/Os

Question 1

MDD criteria

Answer 1

5/10 SIGECAPS

Req either - depressed mood or loss of interest/pleasure

> 2wks

Cause distress/impairments in life

Never a ME or HME

Question 2

Difference between MDE and grief

Answer 2

Grief - feelings of emptiness/loss that decreases with time, but in waves (pangs of grief) that have some positive emotions/humor and intact self esteem. SI is ass/w being w/ loved one.

MDE - inability to have pleasure/happiness w/ pessimistic ruminating of self critical thoughts of worthlessness or self loathing which are the focus of SI.

Question 3

1L TXT - MDD

Answer 3

SSRI - or bupropion (if sex dysfx)

CBT

Question 4

Disruptive mood disregard d/o criteria

Answer 4

6-18yo w/ onset <10yo - Outbursts >3x/wk

Mood between outbursts - irritable/angry
Most of the day noticed by others in 2-3 settings

> 12 mo w/out >3mo lapse